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IVAN SORIA NP
NPI 1811714926
Nurse Practitioner - Family in Jackson, CA

Active since September 21, 2024PECOS EnrolledAccepts Medicare Assignment
100 MISSION BLVD STE 2100, JACKSON, CA 95642(209) 257-5900 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2025, Sep 21, 2024 (2 updates tracked since 2024).

About Ivan Soria Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN SORIA NP (NPI 1811714926) is an individual family provider in Jackson, California, licensed in California (95031317) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811714926
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameIVAN SORIACredential: NP
Location Address100 MISSION BLVD STE 2100Jackson, CA 95642-2536
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Phone(209) 257-5900
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 21, 2024
Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1811714926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95031317
100 MISSION BLVD STE 2100, Jackson, CA 95642
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivan Soria Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547799231
PECOS Enrollment IDI20250124002065
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA MARIE RONBACK M.D.
Orthopaedic Surgery
100 MISSION BLVD STE 2100
JACKSON, CA 95642
Amador County (209) 257-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Soria's NPI number?

The NPI number for Ivan Soria is 1811714926. It was assigned to this individual provider in the NPPES registry on September 21, 2024.

Where is Ivan Soria located?

Ivan Soria practices at 100 Mission Blvd Ste 2100, Jackson, CA 95642. The listed phone number is (209) 257-5900.

What is Ivan Soria's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ivan Soria enrolled in Medicare?

Yes. Ivan Soria is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ivan Soria was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.